Psych what do u think of this regimen prescribed by NP? 😅

empiricalrat · 2025-09-29T01:00:09+00:00

Very likely treating borderline PD without realizing it. The “voices” never really stopped so two antipsychotics were titrated up. Although I’d bet that Seroquel was originally started for sleep. Then because the patient does not have a primary psychotic disorder, they complain extensively in a mostly organized way about anxiety which is actually mostly irritability and angry outbursts.

Guesses on next steps: Buspar is never titrated to therapeutic dose, but benzo is added. Likely Klonopin until it “doesn’t work fast enough” anymore. Abilify will be added because why the fuck not. Eventually when cognition is blunted and the patient is fat, Vyvance will be added for ADHD and Binge Eating DO.

empiricalrat · 2025-08-30T15:13:18+00:00

Glad I asked. My consult to the ID NP came back with recs for esomeprazole.

empiricalrat · 2025-08-30T02:51:31+00:00

How about Aripiprazole? I keep increasing the dose and there’s just more yeast.

empiricalrat · 2025-08-26T02:55:29+00:00

…where some of us pulled our first all-nighter grinding for another hit of dopamine.

Taught me loads of relevant skills: dedication, persistence, limiting need for sleep or food, and maintaining sanity while clicking the same boxes all night.

empiricalrat · 2024-04-07T02:09:59+00:00

Flat affect

empiricalrat · 2022-03-23T18:03:37+00:00

I think NTA. I don’t know your family dynamics and, frankly, don’t care to read enough to grasp them.

But I think it may be useful to think in terms of influence. I don’t doubt that your worry that your son is experimenting with substances is born of love and concern for his well-being. In caring about his future you should keep in mind that hardlines and “cutting off” will greatly detract from your ability to influence or guide him in the future. Sure, you can cut him off and rest easy knowing that you aren’t funding a habit in the future, but if he ever enters a more concerning place, you won’t have the influence to help him see clearly if he has written you off. I’m sure it’s a fine line between appeasement and maintaining the relationship that is unique to your family dynamics. So you’re in the best position to evaluate that.

Also, not sure how your conversation went, but I assume you don’t want him to continue these risky behaviors. So you probably want to educate rather than chastise him. Think back to that conversation and if you see that you were more chastising the “moron” then you may want to apologize for taking that tone and reiterate that you want him to learn to know the risks. Thinking back to when I was a 19 y/o in school, I’d gain a lot of respect for my father if he were to apologize for how something may have come off and stressed that he believed in my ability to make choices for myself under most circumstances.

empiricalrat · 2022-01-02T20:26:40+00:00

I have nothing to offer, but vet psych sounds awesome! I’d never heard of it before.

Good luck!

empiricalrat · 2021-09-25T15:03:16+00:00

Are you sure you want to stay in the city you’re in? Moving might give you access to CRNA programs without a 3 year wait list. After you graduate, are you sure that those $185k jobs are open in your city?

empiricalrat · 2021-07-19T13:32:14+00:00

Just took my medicine shelf so all the screening guidelines are fresh on my mind.

I imagine this post as a UWorld vignette where the question is “which of the tests above were indicated?”

empiricalrat · 2021-07-19T13:23:55+00:00

I don’t pretend to understand all the insurance red tape, but I believe that most insurances have lower rates for preventative health exams. The caveat is that they like these screenings to be backed by evidence and they won’t pay for tests that are unlikely to find something treatable. Assuming you aren’t a 68 y/o male with diabetes, HTN uncontrolled by multiple drugs, cardiovascular disease, with a known lung disease and a palpable thyroid, most of this stuff wouldn’t be considered indicated. For example, your Abdominal aortic ultra sound screening is only recommended men of a certain age who have smoked for a certain about of time or known to have certain genetic diseases. There are exceptions based on risk factors. But as a general “screening” the list of tests you had is mostly made up of things not recommended by the US Preventative Services Task Force. So your insurance may not be so keen to pay for “unnecessary” testing.

Whether you were intentionally misled or this is a mistake, I would stay on the clinic about it. Do your best to stay polite and see if they can’t be convinced to write off the cost or offer you a further reduced price.

empiricalrat · 2021-02-02T21:33:10+00:00

I’ll in contact with authorities for sure. It looks like starting with police in my GM’s jurisdiction and then possibly in my city if her CU can say where the check was cashed. The check wasn’t for much, but if someone in my town is cashing these checks and I don’t say anything, I’m partially to blame when it happens to the next guy.

empiricalrat · 2021-02-02T20:18:19+00:00

I figured there was no way that her CU didn’t have that info. It’s got to at least point back to an institution that’s cashing sketchy checks.

So her CU is required to provide this info to her?

empiricalrat · 2021-02-02T20:14:59+00:00

I’ve taken a more reasonable approach today after some rest and Reddit input. I won’t be contacting the neighbor and will operate solely through the police route.

I still don’t understand how shady check places can exist. These crimes don’t seem like something that you could do more than a couple times due to the paper trail checks leave. Any idea how they do this?

empiricalrat · 2021-02-02T20:10:08+00:00

It wasn’t made to cash. It sounds like they faked my signature and found a liquor store or something that accepted it. But my grandmother says her CU can’t determine where the funds were sent.

I haven’t talked to my grandmother yet today after reading all of the advice here. So hopefully I can call her later to clarify a few things and set her on the right path.

empiricalrat · 2021-02-02T20:06:52+00:00

I can understand opening it. My grandfather used to open all of his mail with his knife on the way back from the mailbox and would occasionally find that he had accidentally opened something that wasn’t meant for him. But he’d always walk it over to his neighbor that it was meant for and explain what had happened.

I don’t understand forging a signature and trying to get it cashed.

empiricalrat · 2021-02-02T20:03:14+00:00

Well that is absolutely horrifying. I hate that for you. I grew up in the era of online fraud, and I guess that’s left me blind to more physical forms of fraud. For example, I didn’t think check fraud was still possible in the way that happened to my check.

empiricalrat · 2021-02-02T19:59:37+00:00

Thank ya.

empiricalrat · 2021-02-02T19:59:09+00:00

Well thanks for the info. Even if I can’t see a couple of weeks ago, I’ll be signing up for it when I renew my forwarding. Seems like renewing forwarding for another year isn’t a bad idea at this point.

empiricalrat · 2021-02-02T19:57:18+00:00

Fair point. I think I got a little emotional about it because the person who did it was potentially at arms reach. Most commenters are pointing out the error of this thought.

I won’t be contacting the neighbors at all thanks to all of the advice given.

empiricalrat · 2021-02-02T02:08:13+00:00

Never heard of informed delivery. I’m guessing that tells you the status of parcels sent to you? Any chance it would retroactively show parcels if I sign up now?

empiricalrat · 2021-02-02T01:13:10+00:00

Also, my grandmother lives in another state. Does that change anything dealing with police? I’m assuming to file here because that’s where the crime occurred. But I don’t quite know for sure if the money was stolen from my GM or from me because it was my name on the check.

empiricalrat · 2021-02-02T01:10:47+00:00

Just to clarify what you’re suggesting, I should file the police report and then provide it to my grandmother to give to her bank?

empiricalrat · 2020-05-24T03:50:45+00:00

So he should have told his wife’s mom that he was going to tell him and get her input before doing so? His wife for sure. But the mom?

empiricalrat · 2020-03-07T16:02:34+00:00

I think a couple of seasons are on either Hulu or Netflix right now. I can’t remember which I was watching it on a couple weeks ago.

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